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Organization

TASTE LIFE NUTRITION THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE GISH (OWNER)
(214) 649-5279
Entity
Organization

Contact information

Practice address
1824 S CINCINNATI AVE, TULSA, OK 74119-5226
(214) 649-5279
Mailing address
1824 S CINCINNATI AVE, TULSA, OK 74119-5226

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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